HEARTLAND Protocol FHIR Implementation Guide - Compilação de desenvolvimento local (v0.1.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

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: HEARTLAND Implementation Tier - XML Representation

Active as of 2026-04-16

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="heartland-implementation-tier"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Narrativa gerada: CodeSystem heartland-implementation-tier</b></p><a name="heartland-implementation-tier"> </a><a name="hcheartland-implementation-tier"> </a><p>Este case-sensitive sistema de código <code>https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier</code> define o seguinte códigos:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Código</b></td><td><b>Ecrã</b></td><td><b>Definição</b></td></tr><tr><td style="white-space:nowrap">tier-1-minimal<a name="heartland-implementation-tier-tier-1-minimal"> </a></td><td>Tier 1 - Minimal</td><td>Severely constrained settings, such as a small Critical Access Hospital with one to two nurses. Analog monitoring (Track B), condensed education domains, prioritized GDMT initiation.</td></tr><tr><td style="white-space:nowrap">tier-2-standard<a name="heartland-implementation-tier-tier-2-standard"> </a></td><td>Tier 2 - Standard</td><td>Moderate-resource settings, such as a Federally Qualified Health Center (FQHC) or community hospital. Dual-track monitoring (A/B), full education, target all GDMT classes within 14 days.</td></tr><tr><td style="white-space:nowrap">tier-3-advanced<a name="heartland-implementation-tier-tier-3-advanced"> </a></td><td>Tier 3 - Advanced</td><td>Well-resourced settings, such as a regional referral center. Track A primary with RPM, full multidisciplinary team, rapid-sequence GDMT initiation.</td></tr></table></div>
  </text>
  <url
       value="https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier"/>
  <version value="0.1.0"/>
  <name value="HeartlandImplementationTier"/>
  <title value="HEARTLAND Implementation Tier"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-04-16T20:13:50-04:00"/>
  <publisher value="Vicky Muller Ferreira, MD"/>
  <contact>
    <name value="Vicky Muller Ferreira, MD"/>
    <telecom>
      <system value="url"/>
      <value value="https://heartlandprotocol.org"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="vickymuller@heartlandprotocol.org"/>
    </telecom>
  </contact>
  <contact>
    <name value="Vicky Muller Ferreira, MD"/>
    <telecom>
      <system value="email"/>
      <value value="vickymuller@heartlandprotocol.org"/>
      <use value="work"/>
    </telecom>
    <telecom>
      <system value="url"/>
      <value value="https://heartlandprotocol.org"/>
    </telecom>
  </contact>
  <description
               value="Facility implementation tiers from HEARTLAND Protocol v3.2 Module 8. Tiers reflect available resources (staffing, technology, financial navigation) and dictate which protocol components are operationally feasible at a given site."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright value="CC-BY 4.0"/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="3"/>
  <concept>
    <code value="tier-1-minimal"/>
    <display value="Tier 1 - Minimal"/>
    <definition
                value="Severely constrained settings, such as a small Critical Access Hospital with one to two nurses. Analog monitoring (Track B), condensed education domains, prioritized GDMT initiation."/>
  </concept>
  <concept>
    <code value="tier-2-standard"/>
    <display value="Tier 2 - Standard"/>
    <definition
                value="Moderate-resource settings, such as a Federally Qualified Health Center (FQHC) or community hospital. Dual-track monitoring (A/B), full education, target all GDMT classes within 14 days."/>
  </concept>
  <concept>
    <code value="tier-3-advanced"/>
    <display value="Tier 3 - Advanced"/>
    <definition
                value="Well-resourced settings, such as a regional referral center. Track A primary with RPM, full multidisciplinary team, rapid-sequence GDMT initiation."/>
  </concept>
</CodeSystem>